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  • Title: [Imaging of child osteoarticular infections].
    Author: Azoulay R, Alison M, Sekkal A, Sebag G, Adamsbaum C.
    Journal: Arch Pediatr; 2007 Oct; 14 Suppl 2():S113-21. PubMed ID: 17956819.
    Abstract:
    The diagnostic strategy in imaging osteoarticular infections is currently quite well codified. X-rays, always available in the emergency situation, are systematically taken. They can be usefully completed with sonography in accessible superficial locations, when looking for a puncturable abscess. MRI is not systematic but is widely used: In place of bone scintigraphy, when osteomyelitis is suspected with a normal x-ray and a clinical warning sign; In the acute period of certain deep topographies when looking for an abscess (pelvis, spinal cord); When growth cartilage is involved to evaluate the risk of epiphysiodesis; When there is resistance to treatment; In the chronic forms of osteomyelitis, for diagnosis and evaluating the extent of infection. The CT scanner has few indications: it is performed when looking for bone sequestrum in chronic forms and when MRI access is impossible in difficult anatomical sectors (spinal cord, pelvis, scapula). Scintigraphy is currently only performed when x-rays are normal and there are no clinical warning signs.
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